Iowa Administrative Code

from mandatory reporters or any other person who believes dependent adult abuse has occurred. 176.4(1) Mandatory reporters shall report suspected abuse of a dependent adult within 24 hours of becoming aware of an abusive incident. 176.4(2) The reporter may use Form 470–2441 or a …

176.5(1) Each report made by someone other than a mandatory reporter may be oral or written. 176.5(2) The report shall be made by telephone or otherwise to the department. When the person making the report has reason to believe that immediate protection for the dependent adult is…

176.6(1) When a report is received and meets the criteria pursuant to Iowa Code section 235B.2(5) “a,” the department shall promptly commence an appropriate evaluation or assessment, except that the department of inspections and appeals is responsible for the evaluation and dispo…

176.7(1) After receipt of a report alleging dependent adult abuse which meets criteria as outlined in subrule 176.3(1), a dependent adult abuse evaluation or assessment will be initiated and will be assigned to an adult protection worker. The adult protection worker will make an …

adult and cross-referenced in the name of the alleged person responsible (if applicable). [ARC 6966C, IAB 4/5/23, effective 6/1/23]

176.9(1) Requests for information. Written requests for dependent adult abuse information by the subject of a report may be submitted to the county office of the department on the department-prescribed Form 470-0643 or 470-2444. Oral requests for dependent adult abuse information…

“Nursing care” includes skilled services and personal care services. “Own home” means an individual’s house, apartment, or other living arrangement intended for single or family residential use. “Personal care services” includes: 1. Services that assist a client with the activiti…

177.10(1) Payment approved. Notwithstanding 42 U.S.C. 1382(c)(7), after the service manager or designee approves the service plan, payment is effective as of the later of (1) the date of the application, or (2) the date all eligibility requirements are met and qualified health ca…

following conditions: 177.11(1) Request. Upon the request of the client or legal representative. 177.11(2) Care unnecessary. When the client becomes sufficiently able to remain in the client’s own home with services that can be provided by other sources as determined by the servi…

177.2(1) Eligibility. To be eligible for in-home health-related care (IHHRC): a. The individual must be eligible for supplemental security income (SSI) in every respect, except for income. b. A physician must certify in accordance with rule 441—177.5(249) that the individual requ…

177.3(1) Age. The provider shall be at least 18 years of age. 177.3(2) Health assessment. The provider shall obtain certification on a form prescribed by the department that the provider is physically and emotionally capable of providing assistance to another person whose physica…

177.4(1) Certification requirements. A physician must certify on a form provided by the department: a. That the skilled services or personal care services are required by the person’s physical, developmental or mental health; b. The specific skilled services or personal care serv…

177.5(1) Service plan. a. In consultation with the client’s case manager and any supervising health practitioner, the department will create a complete service plan for the client. The plan must avoid duplication of services and include all of the following: (1) All of the servic…

177.6(1) Instruction. The supervising practitioner shall provide instruction specific to each patient and the services each patient is receiving, including but not limited to instruction on documentation the worker should be creating and instruction on warning signs of which the …

177.7(1) Independent contractor. The provider shall be an independent contractor and shall not be an agent, employee or servant of the state of Iowa, the department or any of its employees or clients. 177.7(2) Liability coverage. All professional health care providers shall have …

177.8(1) Payment approved. Notwithstanding 42 U.S.C. §1382(c)(7) as amended to August 1, 2026, after the department approves the service plan, payment is effective as of the later of (1) the date of the application or (2) the date all eligibility requirements are met and qualifie…

conditions. 177.9(1) Request. When the client or the client’s legal representative requests termination. 177.9(2) Care unnecessary. When the client becomes sufficiently able to remain in the client’s own home with services that can be provided by other sources as determined by th…

“Department” means the department of human services. “Family” means a family member and the parent or legal guardian of the family member. “Family member” means a person less than 18 years of age who by educational determination has a moderate, severe, or profound educational han…

DIVISION II COMPREHENSIVE FAMILY SUPPORT PROGRAM Preamble The purpose of this division is to define and structure the comprehensive family support program, known as “children at home.” This program is designed to assist families raising a child with a disability in obtaining need…

program if funds are available and all of the following requirements are met: 184.2(1) The child meets the definition of family member. 184.2(2) Rescinded IAB 6/27/90, effective 7/1/90. 184.2(3) The child is currently residing in the applicant’s home, or there is a discharge plan…

“Comprehensive family support” means the array of services and supports that assist families who are caring for a family member with a disability. Services and supports include, but are not limited to, programs, services, parent-to-parent support, assistive devices, and various a…

meet all the following conditions: 184.22(1) The family resides in the state of Iowa. 184.22(2) The family includes an individual with a disability. 184.22(3) The family expresses an intent for the individual with a disability to remain living in the family’s home. 184.22(4) The …

by the department. The application shall be submitted to the department or to a local children at home contractor for assistance. The local children at home contractor shall determine eligibility for services in accordance with the provisions of this division. [ARC 6351C, IAB 6/1…

with local agencies to implement the children at home program. 184.24(1) Selection. Contractors shall be selected through competitive bidding and a demonstrated ability to provide disability-related services and supports. 184.24(2) Duties. The local children at home contractor sh…

providing direct financial assistance for supports and services that cannot be funded through other programs or means. Local policies shall be submitted to and approved by the department. [ARC 6351C, IAB 6/15/22, effective 8/1/22]

home contractor’s decisions involving families that apply for the children at home program and are denied services and support under the program. Families, contractors, and the department shall follow the appeal procedures outlined in 441—Chapter 7.

These rules are intended to implement Iowa Code section 225C.47. [Filed emergency 12/8/88—published 12/28/88, effective 12/8/88] [Filed 3/9/89, Notice 12/28/88—published 4/5/89, effective 6/1/89] [Filed emergency 6/8/90—published 6/27/90, effective 7/1/90] [Filed 8/8/90, Notice 6…

applications or approve pending applications for the family support subsidy program pursuant to Iowa Code section 225C.37(3). Family members enrolled in the program as of July 1, 2010, will continue to receive subsidy payments until members meet one of the reasons for termination…

184.4(1) The applicant shall agree that the subsidy will be used to meet the special needs identified in the plan or other special needs of the child and family. 184.4(2) Families shall retain the greatest possible flexibility in determining use of the subsidy, except a parent or…

monthly payment that is determined annually by the department based on the federal cost-of-living adjustment (COLA). [ARC 6351C, IAB 6/15/22, effective 8/1/22]

shall include instructions and necessary forms for verification of continuing eligibility, to all recipients of subsidy payments at least 30 calendar days prior to the deadline date for annual redetermination of eligibility. The completed verification materials shall be submitted…

184.8(1) The family support subsidy shall terminate at the end of the month in which any of the following occur and a notice shall be sent which states the reason for the termination: a. The family member dies. b. The family no longer meets one or more of the eligibility criteria…

or termination of the subsidy payment pursuant to 441—Chapter 7. EXCEPTION: When the parent or guardian appeals the termination of benefits for a child who has attained the age of 18 or who will attain the age of 18 during the appeal, subsidy payments shall not be paid during the…

supports to youth who are transitioning from foster care, the Iowa state training school, or a court-ordered Iowa juvenile detention center to adulthood. The primary goal of the program is for youth to move toward self-sufficiency and to recognize and accept their personal respon…

services, a youth must meet the following requirements: 187.2(1) Residence. The youth must be a resident of Iowa. 187.2(2) Age. The youth must be at least 17 years of age but less than 23 years of age. Program supports and services vary by age. 187.2(3) Out-of-home placement expe…

following services and supports to eligible youth: 187.3(1) Preservices. Informational and trust-building activities may be provided to a youth placed out of home, as described in paragraph 187.2(3)“a,” who is expected to participate in aftercare services at 18 years of age or ol…

187.4(1) A youth may be discharged from the aftercare services program for any of the following reasons: a. The youth fails to follow individual self-sufficiency plan components and expectations as determined by the program administrator or designee. b. The youth fails to meet re…

funds for the aftercare services program are committed for the fiscal year. Names shall be entered on the waiting list on a first-come, first-served basis once the youth is determined eligible. Due to funding, it may be necessary to create more than one waiting list. [ARC 4485C, …

organization to perform the administrative and case management functions necessary to administer the aftercare services program. Agencies and organizations providing services or supports shall meet the standards in rules 441—108.2(238) through 441—108.6(238). [ARC 4485C, IAB 6/5/…

“Adoption” means a legal and social process through which a child becomes a member of a family into which the child was not born. Adoption provides the child the same rights, privileges and duties as a birth child. “Adoption selection” means the process of making adoption placeme…

200.10(1) Requests. Any person seeking access to the department’s sealed adoption records for the purpose or purposes set forth in Iowa Code section 600.16(1)“c” or 600.24(2) shall submit a request in writing to the department. Each request shall contain sufficient facts to estab…

for information from department adoption records for purposes other than research or treatment shall be made on the department’s website. 200.11(1) The department shall not release identifying information from sealed adoption records. Adult adoptees, adoptive parents, birth paren…

complete an Application for Adoption form. An application for adoption shall only be accepted for children who are under the guardianship of the department. 200.2(1) Limitations. The department and its contractor shall accept only applications for adoption of a special needs chil…

child, selection of family, preparation of family, preplacement visits, placement services, and postplacement services. 200.3(1) Adoptive home study. For applicants who apply to the department to adopt, the contractor shall prepare an adoptive home study through the following act…

adoptive home until parental rights of the child’s birth parents have been terminated and guardianship assigned to the department. This would not apply to families and children participating in tribal customary adoption. If one or both birth parents are deceased, the worker shall…

follow interstate placement of child procedures in accordance with Iowa Code sections 232.158 through 232.166. [ARC 8110C, IAB 7/10/24, effective 8/14/24]